Do you have hands on medical coding experience working directly with providers to solve reimbursement issues? Do you have Buy and Bill reimbursement experience? If so, apply below!

Merz Therapeutics is seeking a Regional Reimbursement Access Manager to support our Northeast Region (multistate NJ and north)

The candidate MUST reside in the Northeast Region

This is a field role that may require 40% to 60% travel, including overnights, therefore we are seeking someone with 1 hour of a major airport and has experience traveling.

Who We Are: Harvesting Hope with a Growing Family

At Merz Therapeutics, we take a nurturing approach to our organization – treating colleagues like family, embracing our whole selves and creating a company culture that encourages growth and decisive action. We are committed to caring for whole communities by focusing on individuals suffering from movement disorders and neurological conditions and the healthcare providers dedicated to helping them, while simultaneously bolstering our team members in a united effort to make a difference.

As a private, family-owned company, we have the liberty and support to make decisions for ourselves, our customers and the patients we serve. We pride ourselves on building an inclusive culture where there is room to celebrate individual growth with the ability to contribute to a common good as a collaborative team. Our mission is grounded in a long-term view of making a difference for the common good, while growing together as a family.

If you‘re looking to immerse yourself in a passionate team rooted in community, connection and camaraderie, then we’re looking for YOU! #IAmMerz

Are you a self-starter, and do you thrive in entrepreneurial environments?

The Reimbursement Access Manager (RAM) requires an individual with demonstrated success in reimbursement expertise, including interpretation of coverage, coding and payment policies, with the ability to apply such knowledge at the provider level. He/she will be responsible for leading and overseeing all reimbursement and access functions within their assigned region. Specifically, the RAM is tasked with developing relationships with Merz customers and facilitating appropriate patient access to therapies through education and in-services to practices. He/she will also provide highly involved and personalized guidance to the Neurosciences field staff and Merz business partners in understanding and addressing reimbursement and access challenges.

Are you ready to galvanize a team around a culture of care, putting patients first to spark change?

• Work strategically with practices to deliver information that facilitates patient access to and appropriate reimbursement of Merz products. Offer resources that support the providers in gaining access to Merz products for their patients as appropriate.
• Review patient benefit options, prior authorization requirements, and alternate funding/financial assistance programs with providers and office staff.
• Increase awareness and utilization of the Merz Connect hub services. Leverage the program to provide high touch support to practices and patients.
• Serve as a technical expert in government and third party reimbursement and coverage policies and as a source for reimbursement information for internal (marketing, sales, Medical Affairs, etc.) and external (physicians, office staff) customers.
• Assist the Director, Reimbursement and Access Services to develop and implement reimbursement tactics to support the successful launch of new Merz products or technologies.
• Monitor Centers for Medicare and Medicaid Services (CMS) reimbursement policies and keep abreast of trends in reimbursement and health policy that affect Merz’ products and the markets in which they compete.
• Communicate changes or issues relating to commercial coverage policies to the National Accounts team in a timely fashion.
• Other duties as assigned.

Preferred background to help position you for success

• Bachelor's degree
• Minimum of 5-7 years combined experience in billing, coding, practice management, and/or pharmaceutical reimbursement support with a physician injected buy and bill product OR experience selling a physician injected neurotoxin.
• Hands on reimbursement billing, coding and appeals experience
• Must possess the following: general payer policy knowledge (public and private payers), foundational knowledge of benefit verifications and prior authorization requirements, and knowledge of reimbursement processes within various sites of care.

Knowledge, Skills and Abilities

• Acute understanding of the key reimbursement and health policy trends and drivers that will influence the decisions of a manufacturer.
• Excellent collaboration skills, critical thinking, and a high level of competence in reimbursement (coverage, coding and payment) for pharmaceutical products (including specialty pharmaceuticals).
• Ability to interpret and integrate business strategies into actionable patient access initiatives.
• Successful leadership, project management, and presentation skills, including proven ability to manage through a "highly matrix" environment.
• Demonstrated ability to make effective decisions in a fast paced environment.
• Ability to work independently, manage travel schedule, and make effective decisions regarding territory management.
• Outstanding communication and interpersonal skills with a proven ability to develop relationships at all levels in an organization.
• Ability to travel overnight three nights per week.

Similar titles:

• Regional Access Manager
• Field Reimbursement Manager

Don’t meet every single requirement? Studies have shown that women and people of color are less likely to apply to jobs unless they meet every single qualification. At Merz Therapeutics we are dedicated to building a diverse, inclusive, and authentic workplace, so if you’re excited about this role but your past experience doesn’t align perfectly with every qualification in the job description, we encourage you to apply anyways. You may be just the right candidate for this or other roles.

COVID-19 Update – Please Read

Consistent with our values, Merz believes the health and safety of our people is a priority. This includes providing a safe environment for those working in a Merz facility. At present, individuals who have not provided proof of COVID-19 vaccination are required to obtain and submit the results of a weekly COVID-19 test for each week during which they are scheduled to work. Being fully vaccinated means an individual is at least two weeks past their final dose of an FDA- or WHO-authorized COVID-19 vaccine regimen. Individuals in customer-facing roles may need to comply with additional requirements if set forth by customers with whom they are supposed to interact.